All of the following are classic signs of venous insufficiency except
A. Pain
B. Dependent edema
C. Hemosiderosis
D. Dermatitis
A
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During an interview, the patient states he has the sensation that "everything around him is spinning." The nurse recognizes that the portion of the ear responsible for this sensation is the:
a. Cochlea. b. CN VIII. c. Organ of Corti. d. Labyrinth.
A nurse needs to provide tracheostomy care to a client at a health care facility. What should the nurse do before performing the tracheostomy care in order to provide continuity of care?
A) Check the nursing care plan to determine the schedule for providing care. B) Avoid reviewing the client's records for documentation concerning previous care. C) Assess the condition of the dressing and skin around the tracheostomy tube. D) Determine the client's understanding of tracheostomy care.
The nurse admits into the labor area a patient who is in preterm labor. The assessment finding that would constitute a diagnosis of preterm labor is:
1. Cervical effacement of 30% or more. 2. Cervical change of 0.5 cm per hour. 3. Two contractions in 30 minutes. 4. Eight contractions in 1 hour.
A client diagnosed with major depressive disorder was raised in a strongly religious family where bad behavior was equated with sins against God
Which nursing intervention would be most appropriate to help the client address spirituality as it relates to his illness? A. Encourage the client to bring into awareness underlying sources of guilt. B. Teach the client that religious beliefs should be put into perspective throughout the life span. C. Confront the client with the irrational nature of the belief system. D. Assist the client to modify his or her belief system in order to improve coping skills.